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The document is an application form for the cancellation and refund of an e-stamp certificate in Uttar Pradesh. It includes sections for details of the certificate, parties involved, and payment information. Additionally, it outlines requirements for authorized representatives and verification by the issuing officer.

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0% found this document useful (0 votes)
41 views2 pages

WWW Scribd

The document is an application form for the cancellation and refund of an e-stamp certificate in Uttar Pradesh. It includes sections for details of the certificate, parties involved, and payment information. Additionally, it outlines requirements for authorized representatives and verification by the issuing officer.

Uploaded by

Sarkari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Form 5 STAMP Cancellation E Stamping Form

This document is an application form for the cancellation and refund of an e-stamp certificate in Uttar Pradesh. It includes sections for
1 page
details of the certificate, parties involved, paymen… Full description
Uploaded by kd884690 AI-enhanced title and description PDF No ratings yet
12 01 2023 PE Reliance

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388 pages

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Ecommerce Notes For Bcom
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(See Rule 32)
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Application for Cancellation and Refund of E-Stamp Certificate
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(GOVERNMENT OF UTTAR PRADESH)
OR August 1, 2023

Authorized Unlock this page after Authorized


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Collection
Collection Centre
Centre Id. 4 pages
Name
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Application date / / 20 Iafa 451

Details of the E-Stamp Certificate presented for cancellation and refund


Certificate Number : 1 page

IN
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Date of Issue of the Certificate / / E Stamping Application Form

First Party Details


Name 4 pages
Address
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Phone Payment

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First party Second Party Authorized Representative *
Reviewer - Cash & Cash
Equivalents
If the Authorized Representative is applying for refund, his details* :
Name:
5 pages
Address:
Bank Name Branch Name PDF No ratings yet
No Due Certificate Suresh Pandian
Account No. IFSC Code
MICR No
(Please attach copy of passbook/statement and copy of cheque 2 pages

Phone:
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He is representing - (tick) First party Second Party Debt Validation Letter

*In case an authorized representative is presenting the refund application on behalf of the e-stamp purchaser, this
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application must be accompanied with authorization from the purchaser executed on a Rs. 10 Non-judicial Stamp
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Payment Goa

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Upload a document
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e-stamp
Second Party CHANDRAKANTH KONDRAKUNTA
Certificate Purchased by
document or subscribe to read and - 0190
Start your 30 day free trial
download. Cash/Cheque/D.D/Pay
1 page
order/Electronic clearing
Stamp Duty Amount `............................. OR Mode of Payment
System/Real Time Gross
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Unlock this page after an ad Skip ad Settlement
My Stamp Order Form
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Date : / /20
/UTR No.
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Report of the Issuing / Designated Officer of the Central Record Keeping Agency /
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2020
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